PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
ACTIVITY DESCRIPTION In the year 2007, a total collection of 24,000 units of blood is anticipated .This is based on the quarterly reports on the numbers of blood units collected monthly in the past one year from all the Zonal Centers, averaging 200 units per centre. All units of blood will be sourced from voluntary non-remunerated donors, with extensive mobile community outreach activities at all the centers. All units of blood will be tested for HIV I and II, Hepatitis B and C, and Syphilis using ELISA techniques. PEPFAR funds will be used only for the HIV testing while other funds will be leveraged for hepatitis and syphilis testing. Cold chain is preserved by a 24 hour power supply augmented by standby generators at all the centers.
The Nigerian National Blood Transfusion Service is based on a centralized system with 6 Zonal blood screening centers set up in the first phase of the project, as follows; Abuja serves as headquarters covering Federal Capital Territory and adjourning states of Nassarawa and Niger with a population of 6.4 million. Kaduna serves the North-West Zone comprising of 6 states with population of 18.8 million while Owerri serves the South-East Zone which has 5 states with population of 12.5 million. Ibadan serves the South-West Zone comprising of 7 states with population of 13.7 million. Maiduguri covers North-East Zone with 3 states having a population 9 million. Jos covers North-Central Zone comprising of 4 states with Population of 8 million.
Four additional centers are being proposed with Port-Harcourt serving South-South Zone of 6 states and population of 10 million; Lokoja covering North-Central Zone with 4 states and a population of 8 million while Potiskum serves North-East Zone with 3 states and a population of 5 million.
An aggressive donor recruitment campaign is in progress to educate the populace about the importance of voluntary blood donations to blood safety and adequacy. The campaigns are carried out mostly in tertiary educational institutions, via mass media (TV, Radio), by road shows and one-on-one recruitment.
Young persons are targeted to become regular blood donors through regular education and counseling and reinforcing messages about living healthy lifestyles that reduce the risk of contacting HIV and other TTIs. The youth recruitment program relies substantially on the establishment of youth donor associations such as local Club 25 and Lifesavers Club. Other youth NGOs like the Rotaract Club (Junior Rotarians) also have committed blood donor programs.
The National Blood Transfusion Service will also embark on regular training of medical personnel in the catchments areas on the appropriate use of blood and blood products using a standard training module which will be regularly updated. A total number of 400 staff will be trained by the end of COP 07.
NBTS will employ an average of 35 persons per center (Donor recruiters, Nurses, Phlebotomist, Counselors and Laboratory Scientist). 50% of the technical staff will be paid for by the Government of the states where the centers are located and will form the core of the new centers to be established during the 10 year development period.
Formal referral linkage exist between the NBTS Centers to appropriate treatment facilities for TTI positive donors.
The National Blood Transfusion Service is developing a quality management protocol for the assessment of the program at regular intervals. Standard operating guidelines for all processes and procedures carried out within the service have been developed with recruitment, phlebotomy, donor care, blood grouping and infectious agents' screenings continuing. Appropriate trainings and regular scheduled and unscheduled monitoring and evaluation, using a standard checklist will compliment quality management efforts.
A National blood policy has been adopted and launched, and a bill is currently being considered by the National Assembly while a ten year strategic plan drawn together with SBFAF is in place to direct implementation of the program.
In order to increase coverage of the service, additional centers are proposed in the year
2007, bringing the total number nationwide from 6 in 2006 to 10 at the end of 2007.
CONTRIBUTIONS TO OVERALL PROGRAM AREA Safe blood supply in our communities will result in significant reduction in the transmissions of HIV and other TTIs from unsafe blood transfusions. This contributes immensely to PEPFAR's 5 year strategic plan for Nigeria to reduce HIV transmission through the provision of safe blood and the implementation of safe blood interventions in the country.
LINKS TO OTHER ACTIVITIES This activity links with HVCT 6702 and ARV 6705. The NBTS Centers work closely with the states "Action Committees on AIDS (SACA) "in the various zones, to promote HIV/AIDS prevention, education and strategies. NBTS also works in collaboration with SBFAF, which serve as its technical partner.
POPULATIONS BEING TARGETED The main target populations for voluntary blood donor recruitments are the youth between the ages of 18 and 30 years. Many of the youths are in Tertiary educational institutions within the catchments areas. There is a very active population of donors from the faith based organizations and the general population who need safe blood for transfusions are also targets.
KEY LEGISLATIVE ISSUES ADDRESSED Key legislative issues addressed include gender, stigma and discrimination and volunteers. NBTS activities will help to increase gender equity in voluntary blood donations through counseling messages targeted to the populace. An estimate of the donor data at the centers indicates a low patronage by women.
EMPHASIS AREAS The major emphasis areas to be targeted in 2007 will be community mobilization and participation for voluntary non-remunerated blood donation. Other areas of emphasis are training of appropriate staff (Donor recruiters, Laboratory Scientists, Quality officers and donor care), and establishing an infrastructure for screening and banking safe blood in Nigeria.
